I am on this site because I have a friend that is Type 1. I have taken the responsibility for helping him when he needs it. He is 58, works and is generally healthy except for the lows which he has almost everyday, later in the day or at night. Sometime he has one late afternoon and another during the night. Of course he is eating and sees his doctors regularly. He is on the pump. Often he is out working or after work and may be in a parking lot. Someone may find him and call 911. He is getting exercise in his work and the lows are more frequent. I know his metabalism is higher because of this. Are there any suggestions beyond the normal things to do? He says he did not used to have so many lows. He does not need to be back himself but has to work. We do not know what to do.

Since he is having afternoon/evening lows, it is possible that his basal rates are too high. Less insulin will mean fewer lows and he can still maintain good control. Has he talked to a CDE or his pump trainer? They will be able to provide some good advice too.

Most pumpers do their own basal testing (involving fasting for moderate periods of time and frequent testing) and make their own modifications rather than rely on the doc. We know our diabetes best. I would strongly suggest the book "Pumping Insulin". It is a great bible for us pumpers. Sorry I didn't mention it before.

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